Jacob Matthew Zangenberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-OPT-LIC-5588 Issued in MT

Practice address

3820 N 27TH Ave
Bozeman, MT 59718-3233

Phone

(406) 587-1245

NPI assigned

May 23, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Eye Specialists PCGroup PAC ID 5597721472, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jzangenberg@medicaleyespecialists.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Eye Specialists PC

  • Ophthalmology Physician
  • Bozeman, MT
  • NPI 1093704108

  MT

  Medicare reassignment Care Compare group NPD
• Mes Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bozeman, MT
  • NPI 1649055005
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1306639331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HARDIN LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188971",
            "telephone_number": "406-600-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N 27TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183233",
            "telephone_number": "406-587-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590473400",
            "country_code": "US",
            "telephone_number": "406-587-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597143616",
            "country_code": "US",
            "telephone_number": "406-587-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANGENBERG",
        "first_name": "JACOB",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-5588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina E Young, DDS
• Kenneth M Younger, MD
• Skyler Yunk
• Michael C Zacharisen, MD
• Amber Zander
• Fran Zelenitz, MASSAGE THERAPIST
• Nikki L Zelenka, MS, LCPC, NCC
• Mara Zello, FNP
• Leila Jean Marie Zemke, OTR L
• Zenith Counseling, LLC

• All providers in Bozeman, MT
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.